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ACLS Study Guide | Advanced
Cardiovascular Life Support
Exam Prep
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2025 ACLS
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1. What element of a system of care is represented by Structure
properly functioning resuscitation equipment?
2. What is the first link in the out-of-hospital cardiac ar- Activation of emergency
rest (OHCA) chain of survival? reponse
3. What are signs of clinical deterioration that would Symptomatic hyperten-
prompt the activation of rapid response system? sion
Seizure
Unexplained agitation
4. What is the primary purpose of a rapid response team To improve patient out-
(RRT) or medical emergency team (MET)? comes by identifying and
treating early clinical dete-
rioration
5. What happens when teams rapidly assess and inter- The number of in hospital
vene when patients have abnormal vital signs? cardiac arrest decreases
6. In addition to decreased IHCA, what are some other Decrease ICU length of
benefits of implementing a rapid response system? stay.
Select all that apply. Decreased in total hospital
length of stay.
7. Which is the main advantage of effective teamwork? Division of tasks
8. Which is the best example of a role of the team leader? Models excellent team be-
havior
9. Which is the best example of a role of a team member? Prepared to fulfill their
role responsibilities
10. What is the primary purpose of the CPR coach on a Increasing CPR quality
resuscitation team?
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11. What are the 6 positions for high performance teams Team leader
in resuscitation? Airway
Timer/recorder
Compressor (rotate every
2 minutes)
Monitor/defibrillator/cpr
coach
IV/IO/Medications
12. Which member of the high performance team has the Team leader
responsibility for assigning roles (positions)?
13. Which high performance team member is part of the Monitor/defibrillator/cpr
resuscitation triangle? coach
14. Which is an example of knowledge sharing by a team Asking for suggestions
leader? about interventions
15. Which is an example of summarizing and reevaluat- Increasing monitoring of
ing? the patients condition de-
teriorates
16. Which is a step of closed-loop communication? Confirming task comple-
tion before assigning an-
other task
17. Which are examples of mutual respect? Select all that Acknowledging correctly
apply: completed tasks in a posi-
tive way
Ensuring that only one
person talks at a time
18.
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What are the components of high quality CPR? Select Compression depth of at
all that apply: least 2 inches (5cm)
Switching compressors
every 2 minutes
Avoiding excessive ventila-
tion
Complete chest recoil after
each compression
Interruption limited to un-
der 10 seconds
19. How do you calculate the chest compression fraction Divide chest compression
(CCF)? What is ideal percentage? time by total code time.
You want this at least 60%
but ideally greater than
80%
20. Which component of effective high-performance Quality
teams is represented by the use of real-time feedback
devices?
21. How do you calculate Coronary Perfusion Pressure Aortic diastolic pressure
(CPP)? "minus" Right Atrial Dias-
tolic Pressure
22. How do interruptions in chest compressions negative- Decrease coronary perfu-
ly impact survival after cardiac arrest? sion pressure
23. What is the only intervention that can restore an or- Early and ettective defib-
ganized rhythm in patients with ventricular fibrillation rillation
(VF)?
24. 7-10%
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